Provider Demographics
NPI:1710227830
Name:FREI, NANCY (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:FREI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 COWLES ST
Mailing Address - Street 2:PHARMACY
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-5999
Mailing Address - Country:US
Mailing Address - Phone:907-453-5621
Mailing Address - Fax:907-458-5060
Practice Address - Street 1:1650 COWLES ST
Practice Address - Street 2:PHARMACY
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5999
Practice Address - Country:US
Practice Address - Phone:907-458-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2143183500000X
IL051294734183500000X
TX49329183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist